42D2066681 CLIA NUMBER - GRAND STRAND HEART & VASCULAR

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Laboratory Demographics

CLIA Number: 42D2066681

Facility Name: GRAND STRAND HEART & VASCULAR

Facility Address:
4630 HIGHWAY 17 BYPASS S
MURRELLS INLET, SC
ZIP 29576
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Facility Phone Number: 843 357-2299

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952581910

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	42D2066681
LAB Type	Physician Office
Facility Name	GRAND STRAND HEART & VASCULAR
Street	4630 HIGHWAY 17 BYPASS S
City	MURRELLS INLET
State	SC
ZIP	29576
Phone	843 357-2299
CertificateType	3
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024